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Repeat traumatic brain injury exacerbates acute thalamic hyperconnectivity in humans

Accepted version
Peer-reviewed

Type

Article

Change log

Authors

Amrein, Krisztina 
Andelic, Nada 
Andreassen, Lasse 
Anke, Audny 

Abstract

jats:titleAbstract</jats:title> jats:pRepeated mild traumatic brain injury (mTBI) is of growing interest regarding public and sporting safety and is thought to have greater adverse or cumulative neurological effects when compared with single injury. While epidemiological links between repeated TBI and outcome have been investigated in humans, exploration of its mechanistic substrates have been largely undertaken in animal models. We compared acute neurological effects of repeat mTBI (n=21) to that of single injury (n=21) and healthy controls (n=76) using resting-state functional magnetic resonance imaging, and quantified thalamic functional connectivity, given previous identification of its prognostic potential in human mTBI and rodent repeat mTBI. Acute thalamocortical functional connectivity showed a rank-based trend of increasing connectivity with number of injuries, at local and global scales of investigation. Thus, history of as few as two previous injuries can induce a vulnerable neural environment of exacerbated hyperconnectivity, in otherwise healthy individuals from non-specialist populations. These results further establish thalamocortical functional connectivity as a scalable marker of acute injury and long-term neural dysfunction following mTBI.</jats:p>

Description

Keywords

5202 Biological Psychology, 32 Biomedical and Clinical Sciences, 52 Psychology, Traumatic Head and Spine Injury, Clinical Research, Brain Disorders, Traumatic Brain Injury (TBI), Neurosciences, Physical Injury - Accidents and Adverse Effects, Injuries and accidents, Neurological

Journal Title

Brain Communications

Conference Name

Journal ISSN

2632-1297
2632-1297

Volume Title

Publisher

Oxford University Press (OUP)
Sponsorship
MRC (2431062)
We would like to thank all participants and investigators from the CENTER-TBI MRI sub-study. We also thank our funding bodies, FP7 Health European Union Grant 602150 (CENTER-TBI, DKM, EAS), Medical Research Council (MRC) Doctoral Training Programme Grant MR N013433-1 (REW), Stephen Erskine Fellowship at Queens’ College, Cambridge (EAS), Canadian Institute for Advanced Research grant RCZB/072 RG93193 (EAS, DKM), British Oxygen Professorship of the Royal College of Anaesthetists (DKM), NIHR Senior Investigator Awards (DKM), and Medical Research Council UK (DKM).